NORTHBROOKE HEALTHCARE AND REHAB CENTER INC (NPI# 1811953656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811953656 |
| Entity Type | Organization |
| Organization Name | NORTHBROOKE HEALTHCARE AND REHAB CENTER INC |
| Practice Address |
121 Physicians Dr Jackson TN 38305 |
| Mailing Address |
P.o, Box 10 Parsons TN 38363-0010 |
| Practice Telephone | 7316645050 |
| Practice Fax Number | 7316644890 |
| Mailing Telephone | 7318476343 |
| Mailing Fax Number | 7318474200 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2018-08-30 |
| Authorized Official Name | MS. ROBIN F BRADLEY (SECRETARY) |
| Authorized Official Telephone | 6155958383 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERICAN HEALTH COMPANIES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 0366 | TN | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 0000000366 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 744-0588 | 05 |
| Street Address |
121 PHYSICIANS DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417391855 | Rhonda Jo Perrigo | Occupational Therapy Assistant | 121 Physicians Dr, Jackson, TN 38305-6011 | 2013-04-27 |
| 1598109738 | Brittney King Neely | Occupational Therapist | 121 Physicians Dr, Jackson, TN 38305-6011 | 2013-04-18 |
| 1801239264 | Bradley Keith Cantrell | Physical Therapy Assistant | 121 Physicians Dr, Jackson, TN 38305-6011 | 2013-04-16 |
| 1477851483 | Northbrooke Healthcare and Rehab Center | Skilled Nursing Facility | 121 Physicians Dr, Jackson, TN 38305-6011 | 2011-03-01 |
| 1023315769 | Northbrooke Health Care and Rehab Clinic | Skilled Nursing Facility | 121 Physicians Dr, Jackson, TN 38305-6011 | 2011-02-15 |
| 1407163868 | Allison Cummings | Registered Nurse | 121 Physicians Dr, Jackson, TN 38305-6011 | 2010-09-07 |
| 1902036551 | Shital R Prasad | Speech-Language Pathologist | 121 Physicians Dr, Jackson, TN 38305-6011 | 2009-07-16 |
| 1780825588 | Kara A. Delk | Physical Therapy Assistant | 121 Physicians Dr, Jackson, TN 38305 | 2009-03-09 |
| 1972756344 | Ravishankar Prasad | Speech-Language Pathologist | 121 Physicians Dr, Jackson, TN 38305-6011 | 2008-10-29 |
| 1740365956 | Crystal Verell | Occupational Therapist | 121 Physicians Dr, Jackson, TN 38305-6011 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326348897 | Laurie L. Mcbride | Skilled Nursing Facility | 180 W University Pkwy Ste H, Jackson, TN 38305-1612 | 2010-10-29 |
| 1407179039 | Caring Hands Community Services Inc | Skilled Nursing Facility | 3318 Longwood Drive, Jackson, MS 39212 | 2010-03-10 |
| 1568791804 | North Street Healthcare LLC | Skilled Nursing Facility | 865 North St, Jackson, MS 39202-3020 | 2009-12-16 |
| 1679712665 | West Tennessee Transitional Care Inc | Skilled Nursing Facility | 597 West Forest Ave, Jackson, TN 38301 | 2009-02-13 |
| 1285802652 | Trilogy Healthcare of Jackson, LLC | Skilled Nursing Facility | 703 Robinson Road, Jackson, MI 49203-2538 | 2008-02-19 |
| 1174732333 | Louisiana War Veterans Home | Skilled Nursing Facility | 4739 Highway 10, Jackson, LA 70748 | 2007-05-22 |
| 1760521256 | Omni Visions, Inc | Skilled Nursing Facility | 50 Directors Row, Jackson, TN 38305 | 2007-02-05 |
| 1326197211 | Cottage Grove Nursing Home, Lp | Skilled Nursing Facility | 1116 Forest Ave, Jackson, MS 39206-3216 | 2007-01-09 |
| 1164597688 | Countryside Care Center, Inc. | Skilled Nursing Facility | 2121 Robinson Rd, Jackson, MI 49203-3658 | 2006-11-21 |
| 1073687083 | Chadwick Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 1900 Chadwick Dr, Jackson, MS 39204-3406 | 2006-11-20 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.